Amar D F
Am J Hosp Palliat Care. 1994 May-Jun;11(3):18-23. doi: 10.1177/104990919401100306.
Data and case examples from two major metropolitan hospice programs are examined in order to arrive at a definition of the hospice social worker's role in the nursing home, and how it differs from that of the hospice social worker in home care. The nursing home population tends to be older, frailer, and with poorer mental status, making them less available to "talk therapies". The nursing home environment itself needs to be assessed as a significant part of the patient/family system. Social work interventions may focus on the patient, the family, the nursing home staff, or any combination of these elements. The hospice social worker on a nursing home team may do less counseling with patients, but the role draws on diverse other skills such as groupwork, negotiation, education, and advocacy.
对来自两个主要大都市临终关怀项目的数据和案例进行了研究，以便明确临终关怀社会工作者在养老院中的角色定义，以及它与居家护理中临终关怀社会工作者的角色有何不同。养老院中的人群往往年龄更大、身体更虚弱、精神状态更差，这使得他们不太适合接受“谈话疗法”。养老院环境本身需要作为患者/家庭系统的重要组成部分进行评估。社会工作干预可能侧重于患者、家庭、养老院工作人员或这些要素的任何组合。养老院团队中的临终关怀社会工作者可能与患者进行的咨询较少，但该角色需要运用多种其他技能，如小组工作、协商、教育和宣传。
